"Reply to Eells et al. (Daily Cranberry Prophylaxis to Prevent Recurren" by Ai Wen, Betsy Foxman et al.
 

Faculty Publications

Reply to Eells et al. (Daily Cranberry Prophylaxis to Prevent Recurrent Urinary Tract Infections May Be Beneficial in Some Populations of Women)

Document Type

Article

Journal/Book/Conference Title

Clinical Infectious Diseases

Volume

52

Issue

11

First Page

1394

Last Page

1395

Abstract

TO THE EDITOR—We appreciate the kind words of Eells et al [1] regarding our recent article describing results of a randomized, double-blind clinical trial of the effects of cranberry juice versus placebo juice in preventing urinary tract infection (UTI) among 319 otherwise healthy women [2]. We were puzzled, however, with their statements regarding the study power. Power is a function of the effect size, sample size, and variance. Given that we observed a greater number of UTIs among participants receiving cranberry juice, it would have required a substantially larger sample size than that suggested by Eells et al [1], to overcome the observed deficit and produce a positive result—even if the study had been designed for a 14% recurrence rate. Thus, it does not seem to us conservative to assume—as their letter implies—that had our trial been doubled in size we may have observed a beneficial effect of cranberry juice over placebo. We note also, that the published trials among similar populations [3, 4] had sample sizes that were less than half of that of our trial.

Department

Department of Biology

Original Publication Date

6-1-2011

DOI of published version

10.1093/cid/cir194

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